Evaluation of women presenting with post contact bleeding by cytology, colposcopy and pathology

Abstract

Postcontact Bleeding (PCB) is defined as bleeding occurring during or immediately after cervical contact as sexual intercourse, vaginal examination and vaginal douches at a time separate from menstruation. It is a common, multifactorial, gynecological symptom. The aim of this study: was to evaluate women with PCB using clinical examination, cytology, colposcopy, and pathology in order to know the accuracy of each and all in determining the causes of bleeding. This study included fifty women with Post-Contact Bleeding (PCB). Results: On comparison between colposcopy and cytology § Colposcopy (88%) was more sensitive than cytology (57%). § Cytology (81%) was more specific than colposcopy (79%). Predictive values of positive results were comparable i.e. colposcopy was 50% and cytology was 53%. Conclusion: All women at high risk for development of cervical precancerous lesions should be screened annually with special attention to women married at teenage, smokers, immunosuppressed and those with post contact bleedi. Colposcopy fills the gap between cytology and histopathology. So, we recommend the widespread use of colposcopy in all university hospitals and general hospitals to detect cervical lesions. As cytology detects a crime, the colposcopy locate the culprit. Workshops and training programs for colposcopy are also recommended.